A simple approach to correct ectopic eruption of maxillary canines

Ferreira, Jamille Barros; Silveira, Giordani Santos; Mucha, José Nelson

doi:10.1016/j.ajodo.2017.11.046

Cited by 11 publications

(13 citation statements)

References 20 publications

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“…6 Sometimes the ectopically erupted tooth can spontaneously get corrected after the removal of etiological agent, 4 or orthodontics can also be used as a method of intervention for the treatment of ectopically erupted tooth if all the permanent teeth have erupted. 9 In this case, there was a lack of space for 11 in the arch with eruption of all permanent teeth, thus corrective orthodontics was the only option left.…”

Section: Discussionmentioning

confidence: 88%

“…Although piggyback technique was used in this case for traction of 11, a T-loop spring can also be used for the alignment of severe ectopic tooth. 9 The use of a loop results in reduced stiffness and a greater range of activation because of increased length of wire between brackets. 9 Also segmental arch technique using cantilever and loops can be used for the management of ectopic tooth.…”

Section: Discussionmentioning

confidence: 99%

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Orthodontic Management of Ectopically Erupted Maxillary Central Incisor: A Case Report

Chaudhary¹,

Giri²,

Gyawali³

et al. 2022

Nep. J. Health Sci.

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Maxillary anterior teeth are often referred to as “social six”; if ectopically placed affect the quality of life of the patient. This article presents a case report of a skeletal class II patient with Angle’s class II malocclusion and ectopically erupted right maxillary central incisor which is managed with fixed orthodontics. This highlights the importance of proper history taking, careful examination, and proper investigations in reaching the diagnosis and formulation of the treatment plan. This case report also explains how the piggyback technique can be used for the traction of ectopically placed maxillary incisors and bring about satisfactory results and improve the confidence and self-esteem of the patient.

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Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Orthodontic Management of Ectopically Erupted Maxillary Central Incisor: A Case Report

Chaudhary¹,

Giri²,

Gyawali³

et al. 2022

Nep. J. Health Sci.

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“…8 Perawatan ortodontik dengan pencabutan biasanya dilakukan untuk mengoreksi beberapa maloklusi antara lain gigi berjejal, protrusi dentolaveolar, dan mengoreksi hubungan oklusi gigi molar pertama permanen menjadi hubungan molar kelas I. 9,10 Mekanika penutupan ruangan setelah pencabutan membutuhkan kontrol penjangkar yang baik, tentunya berdasarkan diagnosis dan perencanaan perawatan yang tepat. Burstone mengemukakan klasifikasi penjangkaran, yaitu penjangkaran maksimum, moderat, dan minimum.…”

Section: Pendahuluanunclassified

“…Penggunaan teknik kawat segmental merupakan metode yang paling sesuai menurut Ferreira dan Caldas et al untuk mengoreksi gigi kaninus yang terletak tinggi di bukal karena dapat menghindari efek samping pada gigi penjangkar . 10,16 Aligning dan leveling dilakukan setelah retraksi kaninus selesai. Pencabutan gigi premolar satu kanan bawah diikuti pemasangan breket dilakukan pada gigi-geligi bawah kecuali di gigi kaninus yang ektopik.…”

Section: Laporan Kasusunclassified

<p>Penggunaan trans palatal arch untuk mengatasi penjangkaran pada kasus maloklusi kelas II skeletal disertai crowding yang parah</p><p>The use of trans palatal arch as anchorage control for skeletal class II malocclusion with severe crowding</p>

Arnis

Anggani

2020

J Ked Gi Unpad

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Pendahuluan: Maloklusi kelas II skeletal disertai crowding yang parah dapat menambah kompleksitas perawatan ortodontik. Umumnya dibutuhkan pencabutan gigi premolar sehingga dibutuhkan upaya untuk mempertahankan ruangan yang telah diperoleh karena kebutuhan ruangan yang cukup besar. Tujuan penulisan laporan kasus ini adalah menjelaskan perawatan ortodontik kasus maloklusi kelas II skeletal disertai crowding yang parah dengan penjangkaran trans palatal arch (TPA). Laporan kasus: Pasien laki-laki 34 tahun datang ke klinik Ortodonti RSGM FKG UI dengan keluhan gigi berjejal. Hasil diagnosis memperlihatkan adanya maloklusi kelas II skeletal disertai dengan crowding yang parah pada lengkung gigi atas dan bawah, serta profil muka cembung. Kasus ini dirawat dengan pencabutan gigi premolar pertama di rahang atas maupun bawah di kedua sisi menggunakan peranti ortodontik cekat sistem breket pre-adjusted edgewise MBT, dan ditambahkan TPA di rahang atas. Hasil perawatan menunjukkan crowding pada lengkung gigi atas dan bawah terkoreksi setelah 20 bulan perawatan. Simpulan: Penatalaksanaan maloklusi kelas II yang kompleks memerlukan pertimbangan dan perencanaan yang seksama terutama dalam hal penjangkaran. Perawatan ortodontik konvensional menggunakan penjangkaran tambahan berupa TPA terbukti efektif dalam mengoreksi crowding yang parah, mengubah hubungan molar dan kaninus menjadi kelas I, serta memperoleh oklusi yang baik secara merata di regio atas dan bawah di kedua sisi.Kata kunci: Trans palatal arch, crowding, maloklusi kelas II skeletal. ABSTRACTIntroduction: Skeletal class II malocclusion with severe crowding may contribute to the complexity level of orthodontic treatment. During the treatment with premolar extraction, space created needs to be maintained due to the more substantial space requirement. The purpose of this case report was to determine the orthodontic treatment of class II malocclusion with severe crowding using a trans palatal arch (TPA) to reinforce the anchorage. Case report: A 34-year man came to Orthodontic Clinics of the Faculty of Dentistry University of Indonesia Dental Hospital with a chief complaint of dental crowding. Diagnosis result showed the skeletal class II malocclusion along with severe maxillary and mandibular crowding and a convex face profile. Treatment with four first premolar extraction was performed with a pre-adjusted edgewise MBT system with TPA in the upper arch. The treatment results showed that severe crowding was corrected after 20 months of treatment. Conclusion: Due to the complexity of class II malocclusion, arrangement and implementation of this case need proper consideration and strategic planning, especially regarding anchorage control. Conventional orthodontic treatment using TPA is proven to be effective to eliminate severe crowding, obtain bilateral class I canine and molar relationship, and to achieve a right balance and occlusal function in the upper and lower regions of both sides.Keywords: Trans palatal arch, dental crowding, skeletal class II malocclusion.

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“…The most common of them is the lack of sufficient arch perimeter [ 2 , 3 ], while others attribute this to the long and tortuous path of eruption that is usually buccal to the dental arch. Since they erupt after the laterals and first bicuspids, approximation of their roots may make it harder for the canines to erupt, in turn causing an ectopic eruption, most commonly manifested as an exaggeration in their buccal position [ 4 , 5 ]. While treating ectopic canines, a biomechanical strategy is of extreme importance.…”

Section: Introductionmentioning

confidence: 99%

Physiologic Midtreatment Tooth Movement as a Correction Strategy for Iatrogenic Root Exposure

Venugopal

Manzano²,

Srirengalakshmi

et al. 2020

Case Reports in Dentistry

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In the case report showcased, we describe orthodontic treatment of a female patient with an excessive gingival display on smiling and severe dental crowding, with maxillary canines positioned excessively buccal (ectopic) to and in near transposition to the lateral incisors. The treatment involved extractions and initial use of unmitigated forces leading to excessive gingival thinning and buccal root positioning of the ectopic canines. Eventually, the root position was corrected and periodontal equilibrium was attained. On finishing the treatment, all objectives were achieved with a good esthetic outcome as well as excellent dental and occlusal relationships.

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A simple approach to correct ectopic eruption of maxillary canines

Cited by 11 publications

References 20 publications

Orthodontic Management of Ectopically Erupted Maxillary Central Incisor: A Case Report

Orthodontic Management of Ectopically Erupted Maxillary Central Incisor: A Case Report

<p>Penggunaan trans palatal arch untuk mengatasi penjangkaran pada kasus maloklusi kelas II skeletal disertai crowding yang parah</p><p>The use of trans palatal arch as anchorage control for skeletal class II malocclusion with severe crowding</p>

Physiologic Midtreatment Tooth Movement as a Correction Strategy for Iatrogenic Root Exposure

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